Post-Acute Care Interventions in Patients Hospitalized Due to COPD Exacerbation Before and After Implementation of an Integrated Care Program

Post-Acute Care Interventions for COPD Patients

Study Overview

This study focused on improving care for patients hospitalized due to COPD exacerbations in Switzerland. While inpatient care is good, there was a need for better post-acute care. An integrated care program was started at University Hospital Zurich to address this issue.

Research Goals

The goal was to compare how well post-acute care interventions were implemented before and after the new program started.

Methods Used

Researchers looked at medical records of patients hospitalized for COPD from July 2019 to March 2023. They compared two groups: one received standard care (Control Group) and the other received the new integrated care program (Intervention Group). They used statistical tests to analyze the results.

Key Findings

A total of 107 patients were studied (55 in the Intervention Group and 52 in the Control Group). The results showed:

  • Improved Care: The Intervention Group had significantly higher rates of:
    • Exacerbation management
    • Dyspnea management
    • Rehabilitation recommendations
    • Smoking cessation advice
    • Inhalation technique evaluations
    • Vaccination recommendations
  • No Change: There was no significant improvement in physical activity, post-discharge medical follow-up, or nutrition.

Conclusion

This study shows that introducing an integrated care program can greatly improve post-acute care for COPD patients.

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